Individual provider Active NPI

Nasiha Kulsum, MD

  • Family Medicine Physician
  • Woodridge, IL
National Provider Identifier
1225564594
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
307410 Issued in NY
Practice address
7425 Janes Ave Ste 100
Woodridge, IL 60517-2357
Phone
(331) 732-7100
Fax
(331) 732-7101
NPI assigned
May 5, 2017
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 307410 NY Primary

Addresses

Primary practice location

7425 Janes Ave Ste 100
Woodridge, IL 60517-2357

Mailing address

7425 Janes Ave Ste 100
Woodridge, IL 60517-2357
Phone (331) 732-7100

Other practice location 1

4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 770-7365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201110001479 NY Practitioner - Family Practice 7810307469 Reassigns benefits to 1 organization
I20250305001033 IL Practitioner - Family Practice 7810307469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

7425 Janes Ave
Suite 100
Woodridge, IL 60517-2357
Phone (331) 732-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2025 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Oct 12, 2020 Accepting new patients
United Medical Associates PC Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

7425 Janes Ave
Ste 100
Woodridge, IL 60517
Phone (331) 732-7100

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

33 Lewis Rd
Ste 2
Binghamton, NY 13905

507 Main St
Johnson City, NY 13790
Phone (607) 763-6075

4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1225564594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 JANES AVE STE 100",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172357",
            "telephone_number": "331-732-7100",
            "fax_number": "331-732-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 JANES AVE STE 100",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172357",
            "telephone_number": "331-732-7100",
            "fax_number": "331-732-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4417 Vestal Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Vestal",
            "state": "NY",
            "postal_code": "138503556",
            "country_code": "US",
            "telephone_number": "607-770-7365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULSUM",
        "first_name": "NASIHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "307410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

Verify at the official NPI Registry.